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Individual

LYNN NELSON WHITEHEAD ORTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
91 ALLEN AVE, PORTLAND, ME 04103-3710
(207) 797-3760
(207) 797-2851
Mailing address
91 ALLEN AVE, PORTLAND, ME 04103-3710
(207) 797-3760
(207) 797-2851

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4275
NC
101YP2500X
Professional Counselor
Primary
CC2952
ME

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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